NC Medicaid Electronic Visit Verification Revised Implementation Dates to Align with Transition of 1915(b) benefits to 1915(i) Authority
For NC Medicaid Direct, Standard Plans and Tailored Plans

Revised EVV for Home Health Services implementation dates for NC Medicaid Direct, Standard Plans and Tailored Plans.

Note: This bulletin article replaces the Dec. 21, 2022 bulletin article Electronic Visit Verification for Home Health Services: Revised Implementation Dates. The implementation timelines in the table below have been updated to reflect Tailored Plan implementation of EVV for 1915(i) services.

The 21st Century Cures Act requires NC Medicaid to begin using an Electronic Visit Verification (EVV) system for Home Health Care Services (HHCS) by Jan. 1, 2023. EVV uses technology to record the times, dates and specific services that are given, which helps to ensure that people who should receive services, in fact, receive them. 

The Centers for Medicare & Medicaid Services (CMS) permitted states that anticipated being unable to meet the implementation deadline to submit a request for a Good Faith Effort Exemption (GFEE). A GFEE approval allows states to implement EVV for HHCS after the required deadline of Jan. 1, 2023, without CMS applying a Federal Medical Assistance Percentage legislated penalty. NC Medicaid submitted a GFEE request to CMS and was granted approval.  

Timelines for implementation of EVV are noted below for each health plan.

Plan 

Impacted systems 

Trading Partner testing 

Soft launch start 

Hard launch start 

NC Medicaid Direct (HHCS) 

NCTracks + Providers 

  

4/1/2023 

7/1/2023 

Standard Plans (HHCS) 

EPS + PHPs + HHAExchange / CareBridge / Healthy Blue 

2/1/2023 

4/1/2023 

7/1/2023 

Tailored Plans (HHCS) 

EPS + TPs + HHAExchange  

5/1/2023 

7/1/2023 

10/1/2023 

Tailored Plans (PCS) 

EPS + TPs + HHAExchange  

2/1/2023 

4/1/2023 

7/1/2023 

PIHP + TP (1915 (i)) 

EPS + PIHPs + TPs + HHAExchange  

2/1/2023 

4/1/2023 

7/1/2023 

Contact

Medicaid.evv@dhhs.nc.gov

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